CMS Formulary

Displaying 26491-26500 of 1611142 results.
ID: 26491
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 197535
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 270
Qty Limit Days: 30
ID: 26492
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 310295
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 26493
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 310297
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 26494
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 313992
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 26495
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 313993
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 26496
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 310293
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 26497
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 310294
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 26498
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 314000
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26499
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 310536
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26500
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 310539
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0